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Whistleblowers Accuse UnitedHealthcare/Optum of Medicare Fraud, Denying Critical Care to Nursing Home Patients

Whistleblowers Accuse UnitedHealthcare/Optum of Medicare Fraud, Denying Critical Care to Nursing Home Patients

May 22, 2025May 22, 2025
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Lessons Learned from VUMC’s Windows 11 Migration

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Layer Health, White Plains Hospital partner for clinical registry reporting

Layer Health, White Plains Hospital partner for clinical registry reporting

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Tag: Claims Data

Startup Launches To Offer Payers an AI-Powered Contact Center Platform

Startup Launches To Offer Payers an AI-Powered Contact Center Platform

March 28, 2025MedCity News

TrampolineAI, an AI-powered contact center platform for health plans, launched on Thursday. It was built at Redesign Health, a healthcare innovation company.

Payers’ contact centers often deal with high call volumes and outdated systems, leading…

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Premise Health scores big with data ingestion and analytics technologies

Premise Health scores big with data ingestion and analytics technologies

October 29, 2024October 30, 2024Healthcare IT news

Premise Health provides primary care services for large organizations, including self-insured employers, labor unions and health plans. It faced several challenges working with claims data.THE PROBLEM
First, it wanted to provide clients with a greater…

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CodaMetrix Announces $40M Series B Financing to Advance Medical Coding Quality and Clinically Enrich Claims Data Through AI | Healthcare IT Today

CodaMetrix Announces $40M Series B Financing to Advance Medical Coding Quality and Clinically Enrich Claims Data Through AI | Healthcare IT Today

April 9, 2024April 9, 2024Healthcare IT Today

CodaMetrix, the leading artificial intelligence (AI) solution for transforming healthcare and revenue cycle management, today announced that it has closed its $40 million Series B funding round. Transformation Capital led the financing with continued…

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Highmark Health Collaborates with Epic, Google Cloud To Improve Payer/Provider Coordination - MedCity News

Highmark Health Collaborates with Epic, Google Cloud To Improve Payer/Provider Coordination – MedCity News

February 27, 2024February 27, 2024MedCity News

Highmark Health is working with Epic and Google Cloud to help advance the coordination between payers and providers, the companies announced Monday at ViVE in Los Angeles.
Pittsburgh, Pennsylvania-based Highmark Health has about 7 million…

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Alaska Provider Network achieving value-based care success with SDOH and claims data

Alaska Provider Network achieving value-based care success with SDOH and claims data

February 9, 2024February 10, 2024Healthcare IT news

Over the last decade, healthcare – and more specifically, primary care – has been at an inflection point. As the industry continues to transform with the evolution of digital records, alternative payment models, and…

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Innovaccer Launches AI Assistant to Reduce Clinical Burden

Innovaccer Launches AI Assistant to Reduce Clinical Burden

January 10, 2024January 11, 2024HIT Consultant

What You Should Know:

– Innovaccer, a healthcare data platform, unveils Sara Scribe, an AI assistant poised to revolutionize healthcare documentation.

– Sara Scribe, also known as InScribe, transcends the limitations of standard dictation software. This…

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Uber Health, Socially Determined partner to leverage SDOH data

Uber Health, Socially Determined partner to leverage SDOH data

January 8, 2024January 9, 2024MobiHealthNews

Healthcare data analytics company Socially Determined and Uber Health, the ride-hailing company’s healthcare arm for patients and providers, are partnering to improve access to food and prescription delivery as well as transportation services by…

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Audio-Only Telehealth Frequently Used for Behavioral Healthcare

Audio-Only Telehealth Frequently Used for Behavioral Healthcare

December 19, 2023December 19, 2023mHealth Intelligence

By Anuja Vaidya

December 19, 2023 – An analysis of claims data shows that audio-only telehealth services are most commonly used to address behavioral healthcare needs.

In a new study published in JAMA Network Open, researchers examined…

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Aspects of Social Determinants of Health: An Introduction | Healthcare IT Today

Aspects of Social Determinants of Health: An Introduction | Healthcare IT Today

October 16, 2023October 17, 2023Healthcare IT Today

It’s always been pretty obvious that factors such as wealth, race, education, and the quality of food and water have enormous impacts on health. But only in the past few years have the medical…

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Healthcare AI News 10/11/23 – HIStalk

Healthcare AI News 10/11/23 – HIStalk

October 11, 2023October 11, 2023HIStalk

News

Microsoft introduces new healthcare-related tools to its Fabric analytics platform that can assemble and standardize data from multiple sources – such as EHRs, imaging systems, lab systems, medical devices, and claims data – and…

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In 10 years the electronic medical record will be the minor player, in terms of where a person’s health history lives. Most of that information will be kept on the phone or in a secure cloud, and the patient will be highly engaged with collecting, curating and sharing that data. Most doctor visits will be like calling up a YouTube meets virtual human docs and there will also be an aspect of virtual reality.

Leslie Saxon

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